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It's been a while since I did a fresh install of Zabbix, but I'm pretty sure most of the installation is done with the admin or root users. You might find the zabbix user needs ownership of a file after creating it with another user, but you can solve that by using chown.
Nate
The terms in #6 are from older versions of Zabbix when the zabbix_server was split into zabbix_trapper and zabbix_sucker. I didn't change anything to the services file and things seem to be working fine. That step may be in the server install part of the manual because you might want to have an agent monitoring the zabbix server.
As for #7: If you just want the agent to run as a daemon process, then you don't need to change anything in inetd. This file is used to start up and stop processes as they are needed. So instead of having the zabbix agent always running, you could configure it to start up when the zabbix server needs to check an item, fetch the item, wait a bit to make sure there aren't more checks coming, and then stop. So if you just want your zabbix agent to always run in the background, you can just start it with ./zabbix_agentd, or add a start up script to init.d.
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